SUMMARY. To investigate the control of sugar uptake by metabolic demand, we used isolated quiescent adult rat heart cells in suspension, under conditions similar to those found during anoxia. Metabolic demand was varied by exposing cells to rotenone plus various levels of ptrifluoromethoxyphenylhydrazone. Without glucose, the time taken for half of the cells to undergo contracture was inversely proportional to the metabolic demand as measured by the rate of lactate production. For any metabolic demand, the onset of contracture was preceded by a sudden drop in adenosine triphosphate. The permeability of contracted cells to glucose was investigated using 3-0-methylglucose. The rate of 3-0-methylglucose uptake by such cells was strongly dependent on the time taken for half the cells to undergo contracture, with low rates at low times to half contracture, and insulin-like rates at high times to half contracture. This suggests that the full induction of glucose transport by metabolic demand can be prematurely curtailed by the loss of adenosine triphosphate. This phenomenon appeared to limit glucose utilization in cells with a high metabolic demand when glucose was present: such cells underwent contracture unless insulin was also present, the rate of glucose uptake as measured with 2-deoxyglucose was inhibited, and the rate of lactate production was inhibited. Isoproterenol depressed glucose transport by two mechanisms. First, by stimulating the basal metabolic demand of the cell it reduced the time taken for half the cells to undergo contracture and, hence, the level of induced sugar transport. Second, it significantly delayed the onset of sugar permeability with respect to the contracture event. Consequently, cells treated with isoproterenol were more prone to contracture than cells without isoproterenol. (Circ Res 58: 157-165, 1986) EXPOSURE of whole isolated rat hearts to periods of anoxia results in activation of glucose transport (Morgan et al., 1959). The complexity of the whole heart has made it difficult to investigate in detail the way in which glucose uptake is controlled under these conditions. The recent advent of preparations of isolated adult heart cells that resist physiological levels of calcium has made it possible to investigate this question. In this study, anoxia was simulated by the addition of rotenone to inhibit mitochondrial respiration. Various amounts of p-trifluoromethoxyphenylhydrazone (FCCP) were added to achieve increased levels of metabolic demand. By 'metabolic demand,' we mean the rate of adenosine triphosphate (ATP) utilization by cells sustaining normal levels of ATP. For such cells, the metabolic demand is equal to the rate of ATP production. Normally, most ATP resynthesis would occur by oxidative phosphorylarion. In the presence of rotenone, ATP production is restricted to that from glycolysis, plus a transient and limited contribution from creatine phosphate. Indeed, since there is an obligatory link between glycolysis and ATP production, glycolysis cannot proceed unless there...